Organization
CONSEJO COUNSELING AND REFERRAL SERVICE - LAKE CITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO PAREDES (EXECUTIVE DIRECTOR)
(206) 461-4880
Entity
Organization
Contact information
Practice address
2611 NE 125TH ST, SUITE 145, SEATTLE, WA 98125-4373
(206) 461-4880
(206) 367-3199
Mailing address
3808 S ANGELINE ST, SEATTLE, WA 98118-1712
(206) 461-4880
(206) 461-6989
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200187
DBHR SITE LICENSE ID
WA
Enumeration date
07/24/2018
Last updated
07/24/2018
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